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General NPI Number Information
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NPI Number | 1427856194
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Entity Type | Individual
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Provider Name | DELILAH MONIQUE FLORES RADT
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 50173 CALLE MARBELLA
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City | COACHELLA
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State | CA
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Zip | 92236-5542
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Country | US
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Telephone | 442-256-3145
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Fax | 760-398-9790
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Provider Business Mailing Address
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Address Line | 46470 RUBIDOUX ST APT 2
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City | INDIO
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State | CA
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Zip | 92201-5738
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Country | US
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Telephone | 951-250-4961
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | RH0012160523
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License Number State | CA
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